A patient with left side brachial plexus injury with inability to flex hiselbow

Brachial plexus is a plexus of nerves in the neck and shoulder region which supplies motor and sensory innervation to the whole of shoulder, arm, forearm and hand. Injury to the plexus leads to paralysis of part or whole of the upper limb leading to functional loss, eventually leading to socio-economic loss to the patient.

The most common cause of brachial plexus injury is the motor vehicle accident when a patient falls on his shoulder leading to stretching and rupture/avulsion of the plexus. This leads to loss of shoulder, elbow, wrist and finger movements along with loss of sensations.

Brachial plexus injuries were the most difficult injuries to treat until the last decade. Due to the advances in diagnostics, surgical and microvascular techniques, management of these patients have become increasingly possible. The introduction of novel distal nerve transfers and functioning muscle transfer has further revolutionized the field.

We, at Sparsh Clinics, strive to provide the best possible outcome to the patients with brachial plexus injuries. Improved microsurgical techniques and increasingly creative reconstructive options provided by our multidisciplinary team has helped us in achieving optimum results.